Aspen Grocery Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

813 Issued in CO

Legal business name

ASPEN GROCERY INC

Doing business as

Clarks Pharmacy Aspen

Practice address

300 Puppy Smith St
Aspen, CO 81611-1455

Phone

(970) 925-2728

Fax

(970) 544-4201

NPI assigned

Jan 15, 2011

Last updated

Nov 22, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leslie Johnson, PHARMDNPI 1710220926

Title

Pharmacy Manager/Pic

Phone

(970) 925-2728

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Clarks Pharmacy Aspen Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Johnson

  • Pharmacist
  • Aspen, CO
  • NPI 1710220926
  NPD Authorized official
• Maxwell Thomas Sumnicht, PHARMACIST

  • Pharmacist
  • Aspen, CO
  • NPI 1932577608
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1871898205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 S MAIN ST",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113911",
            "telephone_number": "970-925-5295",
            "fax_number": "970-925-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PUPPY SMITH ST",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111455",
            "telephone_number": "970-925-2728",
            "fax_number": "970-544-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN GROCERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-15",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PHARMACY MANAGER/PIC",
        "authorized_official_telephone_number": "970-925-2728",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128457",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67132588",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarks Pharmacy Aspen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Aspen Club Sports Medicine Inst
• Aspen Elevated Health LLC
• Aspen Laboratories LLC (Aspen Covid Testing)
• Aspen Leaf Chiropractic P.C. (Aspen Sports Chiropractic)
• Aspen Manual Therapies and Rehabilitation PC
• Aspen Medical Care, PC
• Aspen Pain Practice PC

• Community/Retail Pharmacy in Aspen, CO
• Providers in Aspen, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.